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Scott W. Cheatham, Kyle R. Stull and Morey J. Kolber

arterial stiffness, and improve vascular endothelial function, all which are associated with local physiological changes. 5 The roller density and surface texture may enhance the effects of the intervention. Higher density multilevel surface rollers appear to produce more pressure to the target tissues

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Scott W. Cheatham and Kyle R. Stull

changes, and cellular responses. 19 , 54 Researchers have also found that rolling reduces local arterial stiffness, 55 increases arterial tissue perfusion, 56 and improves vascular endothelial function, 55 which are all related to local physiological changes. For the neurophysiological effect, the

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Isabel Mayer, Matthias W. Hoppe, Jürgen Freiwald, Rafael Heiss, Martin Engelhardt, Casper Grim, Christoph Lutter, Moritz Huettel, Raimund Forst and Thilo Hotfiel

of vasodilatation and perfusion. Okamoto et al 33 observed a statistically significant increase of plasma nitric oxide concentration after self-myofascial release and concluded that FR reduces arterial stiffness and leads to changes in vascular endothelial function. A study assessing the effect of